Provider Demographics
NPI:1720793136
Name:D&T HEALTH SERVICES
Entity type:Organization
Organization Name:D&T HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-868-4189
Mailing Address - Street 1:9403 HARTFORD RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234
Mailing Address - Country:US
Mailing Address - Phone:443-868-4189
Mailing Address - Fax:
Practice Address - Street 1:9403 HARFORD RD STE 6
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3123
Practice Address - Country:US
Practice Address - Phone:443-868-4189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid